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<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
<title>Contact Us</title>
<link href="contact.css" rel="stylesheet" type="text/css" />
</head>
<body>
<div class="wrapper">
  <form name="contact_form" method="post" action="message-send.php">
    <h1>Contact us</h1>
    <table border="0" cellspacing="2" cellpadding="5">
      <tr>
        <td class="r">Name:</td>
        <td><input type="text" name="name" value="" class="input" /></td>
      </tr>
      <tr>
        <td class="r">Email:</td>
        <td><input type="text" name="email" value="" class="input" /></td>
      </tr>
      <tr>
        <td class="r">Subject:</td>
        <td><input type="text" name="subject" value="" class="input" /></td>
      </tr>
      <tr>
        <td class="r">Message:</td>
        <td><textarea name="message" class="textarea"></textarea></td>
      </tr>
      <tr>
        <td class="r">&nbsp;</td>
        <td><p><img src="captcha/blank.png" class="captcha" id="captcha_image" /></p>
        <p><a href="#" id="captcha_refresh">Reload new security image</a> if unreadable </p></td>
      </tr>
      <tr>
        <td class="r">Secuirty Code:</td>
        <td><input type="text" name="security_code" value="" class="input" /></td>
      </tr>
      <tr>
        <td class="r">&nbsp;</td>
        <td><input type="submit" name="submit_button" value="Send Email" class="submit" /></td>
      </tr>
    </table>
  </form>
</div>
<script language="javascript" src="js/gen_validatorv31.js"></script>
<script language="javascript" src="js/validate.js"></script>
</body>
</html>